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SAN JOAQUIN COUNTY <br /> 1868 E. HAZELTON AVENUE <br /> STOCKTON, CA 95205 -100/ <br /> Office: (209)468-3300 Recorder (NOI ) : (209)468-3300 FAX: (209 , 330 <br /> ------------------------------------------------------------------------------- <br /> ------------------------------------------------------------------------------- <br /> .RESTRICTED MATERIALS PERMIT Permit#: 39-01-3902017 <br /> County HQ District#: J <br /> BELLA VISTA FARMS Expiration Date: 12/31/2001 <br /> 23577 MOUNTAIN HOUSE PKWY Effective Date : 04/16/2001 <br /> TRACY, CA 95376-9724 <br /> 6-CHARLES JR SPATAFORE Home: (209)835-2701 <br /> 23577 MOUNTAIN HOUSE PKWY Shop: (209)835-2701 <br /> TRACY, CA 95376-9724 Fax: <br /> Mobile: ( ) - <br /> ------------------------------------------------------------------------------- <br /> ------------------------------------------------------------------------------- <br /> Permittee Type Permit Type Possession NOI Method of Submission <br /> ------ ------------ -------------- -------------------------- <br /> Private App [XI Seasonal CX7 Poss & Use CX7 Phone 1X7 Fax CX7 <br /> Q A Cert C 7 Job C 7 Pose Only [ 7 Box 1X7 Modem CX7 <br /> Ag PCO C 7 In Person CX7 <br /> .Non-Ag C 7 NOI required 24 hours prior to application <br /> Numb Pesticide Pest(s) Form. Method(s) Applicator(s) <br /> --------------- ------------ -------- -------- ------ ----------------- <br /> 1051 SEVIN LARVAE Liquid Air Ground PCO Grower <br /> 1360 CHLOROPICRIN NEMATODE Fumigant Ground PCO Grower <br /> 2000 DICAMBA WEEDS Liquid Air Ground PCO Grower <br /> 2301 DI-SYSTON APHID Liquid Air Ground PCO Grower <br /> 3141 GUTHION MITES Liquid Air Ground PCO Grower <br /> 3830 METHOMYL LARVAE Liquid Air Ground PCO Grower <br /> 3850 METHYL BROMIDE SOIL/STORED Fumigant Ground PCO Grower <br /> 4782 THIMET APHID Liquid Air Ground PCO Grower <br /> 4840 ALUMINUM PHOSPH RODENTS Fumigant Ground PCO Grower <br /> 6.5540 STRYCHNINE GOPHERS Bait Ground PCO Grower <br /> *w*** PESTICIDES CONTINUED ON NEXT PAGE ** *** <br /> Non-Ag Use: <br /> LConditions: PQ <br /> ------------------------------------------------------------------------------- <br /> I understand that this permit does not relieve me from liability for any damage <br /> "to persons or property caused by the use of these pesticides. I waive any <br /> claim of liability for damages against the County Department of Agriculture <br /> based on the issuance of this permit. I further understand that this permit <br /> may be revoked when pesticides are used in conflict with the manufacturer's <br /> 'labeling or in violation of applicable laws, regulations and specific <br /> conditions of this permit. I authorize inspection at all reasonable times and <br /> whenever an emergency exists, by the Department of Pesticide Regulation or the <br /> f County Department of Agriculture of all areas treated or to be treated, storage <br /> facilities for pesticides or emptied containers and equipment sed or to be uses <br /> in the treatment. [Form PR-ENF-125 (Rev.. 07/92) Pesticide rc en Br 7 <br /> Permit Applicant: I/GS �P&4 rVLG Sig <br /> Title: Date: <br /> L <br /> Issuing Officer: Date: y- 17- <br /> V <br /> L <br />